| NPI | 1205241858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.163020) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: OH 401123830710) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2022-07-21 |